Out of Pocket Expenses Series: Common Out of Pocket Expenses

For many years, health insurance has been a major concern not only for the government, but for the individual families and people struggling to afford to manage the expenses. Even those with comprehensive health insurance need to have even more funds available to handle medical expenses as there are still some common out of pocket expenses that need to be paid for by the policyholder in order to get certain medications or treatment.

Out of pocket health care costs are defined as additional expenses accrued by the policyholder as the overall cost passes the maximum limit imposed by the House bill that is currently in place. Because out of pocket expenses are determined by a dollar amount, not by actual treatment, nearly anything can qualify as an out of pocket expense. That includes amounts paid for prescriptions, co-payments, doctor visits, private patient status in a hospital, as well as surgery, setting broken arms and emergency room visits.

Another common out of pocket expense for those with health insurance are denied claim submissions. If you have medical insurance and seek care only to later have your provider reject your claim, you are still legally responsibly for those expenses and must pay the person that issued the treatment you sought or face legal repercussions.